Chemo Brain: Not All In Your Head

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Is "chemo brain" a true side effect? I have had CHOP chemo and several rounds of Rituxan [rituximab]. I find that I have a real problem with memory. Should I be concerned? Is there a test for this problem? Is there treatment to help if it is chemo-related? I am 55 years old.

"Chemo brain,” or cognitive dysfunction, has been reported and validated by the use of research tools such as the Neuropsychological Index. In one study of the effect, however, most symptoms improved, and only a small group of patients had long-lasting effects. While there is no commonly used test for cognitive dysfunction, your doctor may be able to refer you for evaluation if you would like.

That said, keep in mind that the brain is a wonderful organ, and in many cases where it has been injured — whether by stroke or trauma or chemotherapy or simply progressive aging — it can be trained and “exercised” back to health. You should continue to challenge and stretch your mind. Memory tests, puzzles, reading, word games, anything that uses and challenges your brain will be beneficial and I suspect will produce noticeable results for you.

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